MARY A HATZIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

HATZIS

Suffix

DDS

Business Name

MARY A HATZIS DDS

Original Issue Date

12/07/1990

Effective Date

12/07/1990

Expiration Date

09/30/2002

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005